| NPI | 1992419527 |
|---|---|
| Doing Business As | MIND BODY SOUL WEIGHT REDUCTION CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIMAKA BOWENS Office Manager 601-347-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |